ArticleChildren (Basel, Switzerland)2022
Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures: A 20-Year Single Center Experience of 132 Cases.
Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Stabilization of Tibial Metastases with Elastic Nails and Cementoplasty.Cardiovascular and interventional radiology · 2026Article
- Treatment of Unstable Tibia Shaft Fractures in Children With Elastic Stable Intramedullary Nails or Minimally Invasive Plate Osteosynthesis: Comparative Study on 2 Treatment Options.Journal of pediatric orthopedics · 2026Article
- Clinical and Radiographic Outcomes of ESIN, Plate, and K-Wire Fixation in Pediatric Tibial DDMJ Fractures: A Retrospective Comparative Study.Children (Basel, Switzerland) · 2025Article
- Comparison of Three Surgical Options for Treatment of Diaphyseal Tibia Fractures in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Social Support and Manifest Anxiety as Predictors of Somatic and Cognitive Anxiety Symptoms in Children with Lower Leg and Ankle Fractures: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Global burden of pediatric fracture (1992-2021) and projections of future disease burden trends.BMC pediatrics · 2025Article
- Review
- Advances in Pediatric Fracture Diagnosis and Treatment Are Numerous but Great Challenges Remain.Children (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to analyze the outcomes and complications in children treated with elastic stable intramedullary nailing (ESIN) for tibial fractures.
methodsThe study included 132 patients (92 males) with a median age of 11 years (IQR 10, 15) treated with ESIN for displaced tibial shaft fractures or dia-metaphyseal distal tibial fractures from March 2002 to March 2022. The median follow-up was 118.5 months (IQR 74.5, 170). The primary outcome was success rate, while secondary outcomes were the time of bone healing, length of hospital stay, and associated injuries. Demographic data, type and nature of fracture, indication for surgery, healing time, operative time, complications of treatment, and time to implant removal were recorded.
resultsComplete radiographic healing was achieved at a median of 7 weeks (IQR 6, 9). Most of the patients (
conclusionESIN is a minimally invasive bone surgery technique and is a highly effective treatment for pediatric tibial unstable fractures with a low rate of complications. Based on the given results, surgical stabilization of the tibial fractures using titanium intramedullary nailing can be safely performed without casting with early physiotherapy.
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